DSpace Community:http://kumel.medlib.dsmc.or.kr/handle/2015.oak/7612018-02-17T03:56:18Z2018-02-17T03:56:18Z한국인의 악력 평가를 위한 예측 모형 개발: 2014-2015년 국민건강영양조사를 바탕으로백기욱양선희정인성이미영http://kumel.medlib.dsmc.or.kr/handle/2015.oak/157312017-12-01T06:01:30Z2017-01-01T00:00:00ZTitle: 한국인의 악력 평가를 위한 예측 모형 개발: 2014-2015년 국민건강영양조사를 바탕으로
Authors: 백기욱; 양선희; 정인성; 이미영
Abstract: Grip strength is used in the various field to assess the disorder of upper limb. Normative data on the grip strength of population is needed to assess decreased grip strength. In this study, we tried to make a estimating model considering age and anthropometry investigation data, by analyzing 2014-2015 Korean National Health and Nutrition Examination Survey data. The subjects of this study were 10,430 participants who measured grip strength of both hands, have no missing data on anthropometry data and survey. Analysis showed that the grip strength had a curve-shaped correlation which could best be explained by the cubic expression of age, and linear correlation between height, weight and waist circumference. After the stratification of the gender, a prediction formula with age, height, and body weight as independent variables for dominant hand and non-dominant hand grip strength was presented. In addition, the distribution of estimated value to measured value ratio among subjects was suggested, which can be used to assess the abnormal value of grip strength. The distribution of non-dominant hand grip strength to dominant hand grip strength was also suggested, which can be used to determine decreased unilateral grip strength. Several studies have suggested normative value for grip strength by gender and age of Koreans, but there are no consideration for adjusting height and weight. In this study, the model was developed to calculate the predicted grip force considering age, height, and weight. With the distribution data of measured value to predicted value ratio and non-dominant hand grip strength to dominant hand grip strength ratio, the model can be helpful to assess a reduction in grip strength.2017-01-01T00:00:00ZTriple Combination Chemotherapy in Elderly Metastatic Gastric Cancer PatientsJin Young KimJung Min LeeHong Suk Songhttp://kumel.medlib.dsmc.or.kr/handle/2015.oak/157282017-12-01T05:53:49Z2017-01-01T00:00:00ZTitle: Triple Combination Chemotherapy in Elderly Metastatic Gastric Cancer Patients
Authors: Jin Young Kim; Jung Min Lee; Hong Suk Song
Abstract: This study was conducted in order to evaluate the response rate, progression free survival (PFS), overall survival (OS), safety and prognostic factors of weekly S-1, paclitaxel plus cisplatin chemotherapy in patients older than 65 years. We administered the triple regimen to patients older than 65 years with recurrent or metastatic gastric cancer. The response rate, PFS, safety of triple combination chemotherapy was evaluated. Clinical outcomes of the elderly group (&ge;65 years old; n = 28) were compared with those of the non-elderly group (&lt;65 years old; n = 68). The common metastatic lesions were abdominal lymph nodes (57.1%). The median number of cycle was 3.3 cycles (range; 1~9). The disease response rate was 50.0%. The median PFS was 6.2&plusmn;0.46 months and median OS was 7.6&plusmn;1.46 months. This treatment was moderately tolerated with grade 3/4 neutropenia in 67.9%, grade 3 anemia in 21.4%. Non-hematologic toxicities were grade 3 general weakness in 25.0% of patients. Compare to younger patients, more grade 3/4 neutropenia, anemia and general weakness were observed. Treatment related mortality was 3.6%. Only body mass index (BMI) was correlated with overall survival by cox regression analysis (p = 0.043). Triple regimen in elderly gastric cancer patients showed relatively high disease response rate and survival duration similar to younger patients, but more frequent neutropenia, anemia and general weakness were seen as
barriers to treatment in elderly patients. Especially in low BMI elderly patients, triple regimen chemotherapy must be used with caution.2017-01-01T00:00:00Z의과대학생들의 SNS 이용형태 분석 및 고찰조정준어효신변석호양기욱이재호이현수http://kumel.medlib.dsmc.or.kr/handle/2015.oak/157322017-08-09T01:07:26Z2017-01-01T00:00:00ZTitle: 의과대학생들의 SNS 이용형태 분석 및 고찰
Authors: 조정준; 어효신; 변석호; 양기욱; 이재호; 이현수
Abstract: University life can be stressful for even the most satisfied students. Especially medical school students have higher levels of stress. To manage their stress level and social connection, they are using SNS. The purpose of this study was to
investigate the effect of SNS on medical students by analysis of SNS use pattern of medical students. In the analysis of the first grade of Medicine, 51 students (58.6%) posted on Facebook in the past year and posted a total of 1,452 articles (average: 28.5). We analyzed the content of the posts and found that most of them were celebrating a birthday (50%) or confirming their regards (18%). Next, there were other people’s posts (10%) and travel posts (6%). Besides, there were profile photo upload (3%), school life (3%), romance (2%) or family (1%). Female students (16 times / 17 students) changed the profile pictures more frequently than male students (18 times / 34 students) (p = 0.003). There was no statistical significance in all items except for the change of profile picture according to sex. On the other hand, the analysis of the content of the share showed that most of the contents shared about humor (42%), food (15%) and music (14%). Most of the medical students used SNS primarily for social activities, not for educational purposes. Based on this analysis, there should be more research on how SNS can help medical students during medical education.2017-01-01T00:00:00ZPredisposing Factors and Clinical Impact of Linear Intracrania l Calcification Following External Ventricular DrainageYoon Gyo JungChang Young Leehttp://kumel.medlib.dsmc.or.kr/handle/2015.oak/157292017-08-09T01:07:07Z2017-01-01T00:00:00ZTitle: Predisposing Factors and Clinical Impact of Linear Intracrania l Calcification Following External Ventricular Drainage
Authors: Yoon Gyo Jung; Chang Young Lee
Abstract: External ventricular drainage (EVD) is a common procedure performed in neurosurgical field. The purpose of this study was to introduce the linear intracranial calcification formed along EVD tract and to investigate its incidence, predisposing factors, and clinical impact. A total of 59 patients who underwent EVD insertion over a 1-year period were included in this study. The clinical factors and radiographic features between the occurrence and the non-occurrence groups were analyzed to investigate the predisposing factors and clinical impact related to the linear intracranial calcification in EVD tract. The linear intracranial calcification following EVD insertion occurred in 7 patients (11.9%). Among various risk factors assessed, only usage of bone dust (p =0.003) had contributed to linear intracranial calcification with statistical significance in univariate logistic regression analysis. Housefield unit (HU) scale was different between calcification (872.57 ± 46.15 HU) and EVD catheter (169.00 ± 61.35 HU). This study indicates that using bone dust for sealing a burr hole is the only predisposing factor for linear intracranial calcification formed in EVD tract.2017-01-01T00:00:00Z